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Trial · NCT01436162

Efficacy and Safety Study of SPD489 in Combination With an Antidepressant in the Treatment of Adults With Major Depressive Disorder

NCT01436162, Phase 3, Completed, Shire; results first posted 2014-11-07

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety Study of SPD489 in Combination With an Antidepressant in the Treatment of Adults With Major Depressive Disorder. Trials, record NCT01436162. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01436162

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety Study of SPD489 in Combination With an Antidepressant in the Treatment of Adults With Major Depressive Disorder
NCT number
NCT01436162
Status
Completed
Phases
Phase 3
Enrollment
1,105 participants, actual
Lead sponsor
Shire
Conditions
Major Depressive Disorder
Interventions
Antidepressant + SPD489 (Lisdexamfetamine dimesylate ), Antidepressant + Placebo
First posted
2011-09-19
Last updated
2021-06-09
Other registries' IDs
eudract:2011-003006-25
Results first posted
2014-11-07

Source ClinicalTrials.gov

Registered outcomes14

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMean Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at 8 Weeks8 weeksMADRS is a validated, 10-item rating scale with each item being scored on a scale from 0-6 with a total score ranging from 0-60. Lower scores indicate a decreased severity of depression.
SecondaryMean Change From Baseline in Sheehan Disability Scale (SDS) Total Score at 8 Weeks8 weeks
Designed to evaluate the extent to which illness symptoms impact a subject's life in 3 areas: work/school, social, and family/home. Each area is scored on a scale from 0 (no impairment) to 10 (highly impaired) with a total score ranging from 0 (unimpaired) to 30 (highly impaired). Lower scores translate into less impairment.
SecondaryPercentage of Participants Achieving a 25% Response on the MADRSUp to 8 weeksThe percentage of subjects who achieved a 25% response (i.e. ≥25% reduction in MADRS total score from the Lead-in Baseline, Visit 2).
SecondaryPercentage of Participants Achieving a 50% Response on the MADRSUp to 8 weeksThe percentage of subjects who achieved a 50% response (i.e. ≥50% reduction in MADRS total score from the Lead-in Baseline, Visit 2).
SecondaryPercent of Participants Achieving Remission on the MADRSUp to 8 weeksMADRS remission was defined as a MADRS total score of ≤10.
SecondaryMean Change From Baseline Over Time in MADRS Total ScoreUp to 8 weeksMADRS is a validated, 10-item rating scale with each item being scored on a scale from 0-6 with a total score ranging from 0-60. Lower scores indicate a decreased severity of depression.
SecondaryMean Change From Baseline in Abbreviated Brief Assessment of Cognition Affective Disorders (ABAC-A) Composite T-Scoresup to 8 weeks
The ABAC-A is a rater-administered series of activities designed to be sensitive to the critical cognitive deficits in affective disorders and schizophrenia. There are 6 subtests of the ABAC-A: List Learning (verbal memory); Digit Sequencing Task (working memory); Token Motor Task (motor speed); Verbal Fluency; Symbol Coding (attention and processing speed); and Tower of London Test (executive functions). The ABAC-A Composite T-score change from Augmentation Baseline Visit (Visit 8; Week 8) at Visit 14/Early Termination (ET) (Week 16/ET) was analyzed.
SecondaryMean Change From Baseline in the Short Form-12 Health Survey V2 (SF-12V2)Up to 8 weeks
Total score ranges from 0 (lowest level of health) - 100 (highest level of health) on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability (i.e. a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability). Higher scores are associated with better quality of life.
SecondaryMean Change in Sexual Functioning Questionnaire - 14 Item Scale (CSFQ-14) Total Score MaleUp to 8 weeks
The CSFQ-14 is a short-form interview/questionnaire that measures illness- and medication-related changes in sexual functioning. A 5-point Likert scale is used ranging from 1 (never) to 5 (always). The CSFQ-14 total score can range from 14 to 70, with lower scores being associated with worsened sexual functioning.
SecondaryMean Change in Sexual Functioning Questionnaire - 14 Item Scale (CSFQ-14) Total Score FemaleUp to 8 weeks
The CSFQ-14 is a short-form interview/questionnaire that measures illness- and medication-related changes in sexual functioning. A 5-point Likert scale is used ranging from 1 (never) to 5 (always). The CSFQ-14 total score can range from 14 to 70, with lower scores being associated with worsened sexual functioning.

Outcomes14

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMean Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at 8 Weeks8 weeks
Full Analysis Set: Subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of the MADRS total score after the Augmentation Baseline Visit (Visit 8).
units on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in Sheehan Disability Scale (SDS) Total Score at 8 Weeks8 weeks
Full Analysis Set: Subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of the MADRS total score after the Augmentation Baseline Visit (Visit 8).
units on a scaleLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants Achieving a 25% Response on the MADRSUp to 8 weeks
Full Analysis Set: Subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of the MADRS total score after the Augmentation Baseline Visit (Visit 8).
percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving a 50% Response on the MADRSUp to 8 weeks
Full Analysis Set: Subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of the MADRS total score after the Augmentation Baseline Visit (Visit 8).
percentage of participantsNUMBER
SECONDARYPercent of Participants Achieving Remission on the MADRSUp to 8 weeks
Full Analysis Set: Subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of the MADRS total score after the Augmentation Baseline Visit (Visit 8).
percentage of participantsNUMBER
SECONDARYMean Change From Baseline Over Time in MADRS Total ScoreUp to 8 weeks
Full Analysis Set: Subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of MADRS total score after the Augmentation Baseline Visit (Visit 8). Sample size (n) of MADRS total score at each visit differed from sample size (N) of the FAS.
units on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in Abbreviated Brief Assessment of Cognition Affective Disorders (ABAC-A) Composite T-Scoresup to 8 weeks
Full Analysis Set: Subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of the MADRS total score after the Augmentation Baseline Visit (Visit 8).
t-scoreLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in the Short Form-12 Health Survey V2 (SF-12V2)Up to 8 weeks
Full Analysis Set: Subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of the MADRS total score after the Augmentation Baseline Visit (Visit 8).
units on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change in Sexual Functioning Questionnaire - 14 Item Scale (CSFQ-14) Total Score MaleUp to 8 weeks
Full Analysis Set: Male subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of the MADRS total score after the Augmentation Baseline Visit (Visit 8).
units on a scaleMEAN
SECONDARYMean Change in Sexual Functioning Questionnaire - 14 Item Scale (CSFQ-14) Total Score FemaleUp to 8 weeks
Full Analysis Set: Female subjects who took at least 1 dose of randomized investigational product and who had at least 1 valid primary efficacy measurement of the MADRS total score after the Augmentation Baseline Visit (Visit 8).
units on a scaleMEAN

Results by group46

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Mean Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at 8 WeeksAntidepressant + SPD489-7.395% Confidence Interval -8.6 to -6.0units on a scale
Mean Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at 8 WeeksAntidepressant + Placebo-6.895% Confidence Interval -8.1 to -5.5units on a scale
Mean Change From Baseline in Sheehan Disability Scale (SDS) Total Score at 8 WeeksAntidepressant + SPD489-4.995% Confidence Interval -5.8 to -4.0units on a scale
Mean Change From Baseline in Sheehan Disability Scale (SDS) Total Score at 8 WeeksAntidepressant + Placebo-4.395% Confidence Interval -5.2 to -3.4units on a scale
Percentage of Participants Achieving a 25% Response on the MADRSAntidepressant + SPD48968.9percentage of participants
Percentage of Participants Achieving a 25% Response on the MADRSAntidepressant + Placebo74.2percentage of participants
Percentage of Participants Achieving a 50% Response on the MADRSAntidepressant + SPD48941.6percentage of participants
Percentage of Participants Achieving a 50% Response on the MADRSAntidepressant + Placebo37.1percentage of participants
Percent of Participants Achieving Remission on the MADRSAntidepressant + SPD48923.0percentage of participants
Percent of Participants Achieving Remission on the MADRSAntidepressant + Placebo17.8percentage of participants

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Single-blind Lead-in PhaseSTARTEDAntidepressant + Single-blind Placebo1,105
Single-blind Lead-in PhaseSTARTEDAntidepressant + Double-blind SPD4890
Single-blind Lead-in PhaseSTARTEDAntidepressant + Double-blind Placebo0
Single-blind Lead-in PhaseCOMPLETEDAntidepressant + Single-blind Placebo823
Single-blind Lead-in PhaseCOMPLETEDAntidepressant + Double-blind SPD4890
Single-blind Lead-in PhaseCOMPLETEDAntidepressant + Double-blind Placebo0
Single-blind Lead-in PhaseNOT COMPLETEDAntidepressant + Single-blind Placebo282
Single-blind Lead-in PhaseNOT COMPLETEDAntidepressant + Double-blind SPD4890
Single-blind Lead-in PhaseNOT COMPLETEDAntidepressant + Double-blind Placebo0
Randomized PhaseSTARTEDAntidepressant + Single-blind Placebo397

Adverse events16

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDry mouthGastrointestinal disordersSPD4892521129
otherDry mouthGastrointestinal disordersPlacebo62136
otherNasopharyngitisInfections and infestationsSPD4891421114
otherNasopharyngitisInfections and infestationsPlacebo1921320
otherDecreased appetiteMetabolism and nutrition disordersSPD4891321114
otherDecreased appetiteMetabolism and nutrition disordersPlacebo52135
otherHeadacheNervous system disordersSPD4892521132
otherHeadacheNervous system disordersPlacebo1621322
otherInsomniaPsychiatric disordersSPD4891121114
otherInsomniaPsychiatric disordersPlacebo72137

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySPD489
Total, all-cause mortalityPlacebo
Total, other adverse eventsSPD48972211
Total, other adverse eventsPlacebo46213
Total, serious adverse eventsSPD4891211
Total, serious adverse eventsPlacebo1213

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
27474961RESULT

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
SPD489 vs Placebo: serious adverse events

Tests2

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource
Tower PlanningSecondary outcomeConductCognition
Verbal FluencySecondary outcomeConductCognition

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01436162

GET https://conductscience.org/api/trials/v1/NCT01436162/results?page=2